| NPI | 1063894533 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVIN F DALY CFO 678-278-8345 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA LPC008385) |
| Additional Taxonomies | 101YP1600X Counselor, Pastoral |
| 106H00000X Marriage & Family Therapist | |
| Enumeration Date | 2015-06-22 |
| Last Update Date | 2015-06-22 |